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Patient Access Case Manager

Company: VirtualVocations
Location: Vista
Posted on: May 5, 2025

Job Description:

A company is looking for a Patient Access Case Manager.
Key Responsibilities

Manage patient cases through the insurance authorization and appeal process
Draft and submit appeal letters, monitor payer trends, and ensure all appeal rights are exhausted
Communicate case status and necessary information to internal and external stakeholders

Required Qualifications

2+ years of experience in a pain management/spine prior authorization role
Experience with reviewing clinical records and submitting prior authorization requests
2+ years of experience utilizing software systems for task performance
High school diploma
Ability to manage a workload of 140-160 cases

Keywords: VirtualVocations, Carlsbad , Patient Access Case Manager, Executive , Vista, California

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